2018-11-07 National Philanthropy Awards LuncheonAgency Report of:
Ceremonial Role Events and TicketlPass Distributions A Public Document
1. Agency Name Date stamp , t
City of Palm Springs
r'„ I
Division, Department, or Region (if applicable) For Official Use Only
Designated Agency Contact (Name, Title)
Christina Chartier, Executive Assistant to Mayor and Council ❑Amendment (Must Provide Explanation inPart 3.)
760-322-8366 I christina.chartier@palmspringsca.gov I Date of Original Filing:
(month, (fay -year)
2. Function or Event Information
Does the agency have a ticket policy? Face Value of Each Ticket/Pass $ 75.00
9 Y p Y� Yes ® No ❑
Event Description: Natl.Philanthropy Awards Luncheon Date(s) 11 l 07 ( 18 t I
ProWde TitlerExplanab'on
Ticket(s)/Pass(es) provided by agency? Yes ® No ❑ If no:
Name of Source
Was ticket distribution made at the behest Yes ❑ No ® If yes:
Official's Name (Last, First)
of agency official?
3. Recipients
• Use Section A to identify the agency's department or unit. • Use Section B to identify an individual. • Use Section C to identify an outside organization.
Number
A. Name of Agency, Department or Unit
of Ticket(s)I
Describe the public purpose made pursuant to the agency's policy
Passes
B. Name of Individual
(Last, First)
Number
of Ticket(s)l
Passes
Identify one of the following:
Moon, Robert
Ceremonial Role ❑ other I] Income ❑
ll checking'Ce2monial Role"or'Otherdescdbe below.
Public Purpose as defined by PS Resolution No. 22454,
Section 1 d vii viii
Ceremonial Role ❑ other ❑ Income ❑
Il checking "Ceremonial Rde-or'Other oescnbe below'
Name of Outside Organization
C. (include address and description)
Number
of Ticket(s)/
Passes
Describe the public purpose made pursuant to the agency's policy
4. Verification
1 have read and under
with the requirements.
Comment:
Regulations 18944.1 and 18942. l have verified that the distribution set forth above, is in accordance
David Ready City Manager
Print Name Title (month, day, year)
FPPC Form 802 (2/2016)
FPPC Toll -Free Helpline: 866IASK-FPPC (8661275-3772)